Chapter 242: Gradually Worsening Jaundice
"The magic hand acupuncture removes the disease, and the medical virtue warms the heart."
It's just fourteen words, and there is no flowery rhetoric, but it reads catchy.
The parents of the child delivered the pennant to Tao Le, and thunderous applause rang out all around.
The families of the children in the waiting room, the medical staff, and everyone who saw this scene applauded with smiles on their faces.
Tao Le's heart was also touched. The reason why she practiced medicine for two lifetimes was that she wanted to relieve the suffering of patients and return them to peace and joy.
Although the courtesy pennant in front of her was not what she wanted, it was also heavy and full of the hearts of her family.
She immediately accepted it, took a photo with them at the heart of the patient's family, and hurried back to the newborn and 6-month-old baby clinic.
Behind her, many family members waiting for the treatment asked questions one after another, understanding the ability of this little doctor Tao - the family members of the previous patient naturally had one or two things to say, and praised them very much, and the people who listened to the waiting were also very itchy in their hearts.
The nurse who was guiding the patient was secretly smiling in her heart. Who our little Dr. Tao is, others don't know, but we can't understand it anymore.
She is a closed disciple of Zhou Jishen and Zhou's old national hand, can acupuncture not be powerful?
Tao Le carried the pennant into the consultation room, and Director Bai De was happy when he saw it.
"I said what was the commotion outside just now, it turned out that our Xiao Tao had a good thing."
Tao Le was a little embarrassed: "Director Bai, don't laugh at me." You have to hang all the pennants you get, I'm afraid there won't be enough in this room. ”
Although she guessed, she was not far from ten. Director Bai De has superb medical skills, has been practicing medicine for 20 years, and he is really young and old when he gets the pennant.
Bai De laughed, put the topic aside, and began to call again.
The first child, who was only two weeks old, suddenly had a high fever yesterday, with symptoms such as spitting, choking and shortness of breath. On examination, the lungs have coarse breath sounds with dry sounds.
In this case, both Director Bai and Tao Le suspected that the child might have neonatal pneumonia.
At that moment, Director Bai ordered a series of checklists, and explained to the family to prepare for hospitalization.
After sending the patient away, a call came from the emergency department and asked Bai De to come for a consultation.
He was still relieved of Tao Le, and told him a few words about what to pay attention to when the patient came back later, so he went up with confidence and handed over the consultation room to Tao Le.
There were no new patients for the time being, and Tao Le breathed a sigh of relief.
She was busy early in the morning until now, she didn't even drink a sip of water, so she hurriedly rushed a cup of tea during this time, squinted her eyes and took a sip, and suddenly felt refreshed.
Probably because this sip of tea lifted his spirits, Tao Le suddenly remembered something.
Anyway, her second uncle Tao Haozhe, didn't he say that he was going to come to Yunshi to find her for acupuncture? It's been four days since Saturday, why hasn't he come yet?
By the way, he said that he wanted to stay with his grandfather for a while, presumably because he hadn't left the backer village yet.
Thinking like this, Tao Le put this matter behind him. At this time, the system prompted that there was a new child waiting, and Tao Le called the number.
The child is approaching the full moon and is coming to the clinic because of the worsening jaundice.
Neonatal jaundice is a common physiological or pathological symptom of newborns, which is manifested as pale yellow in the baby's eyes, face, and even chest and back, palms and feet, also known as yellow staining.
This is because newborns have higher levels of bilirubin in their bodies, which are higher than normal metabolism. In general, most children resolve spontaneously within the first two weeks of life, and only a few require treatment.
When the child was born, the jaundice was only on the face, but now it has not subsided, but has spread to the chest, back, hands and feet. At the same time, he was sluggish all day long, extremely drowsy, lost his appetite, and his crying was getting lower and lower.
Tao Le thought at high speed in his head. Jaundice has not been eliminated more than 20 days after birth, and physiological causes have basically been ruled out, and pathological jaundice is very likely.
There are many primary diseases that cause children to develop pathological jaundice, and many of them are consistent with the above symptoms.
If you check and check one by one, the child will suffer a lot of crimes, and it will take a long time to see the results, which will affect the treatment.
Tao Le was hesitating to open the golden finger to see the answer directly, and suddenly he made a new discovery.
Her eyes were excellent, and at a glance she could see that there were several tiny purple spots on the child's neck.
The weather has recently turned cold, and the child is extremely weak, so the parents have dressed him a lot, only showing a little of his neck.
Tao Le's heart moved, and he immediately took the patient, placed him on the examination table, and untied his clothes layer by layer, revealing his chest.
Sure enough, there were a lot of bruised spots and ecchymoses on the child's chest.
In such an older child, the hepatosplenomegaly protrudes to the outside of the ribs, which can be seen with the naked eye.
In addition, there are symptoms of infection around the umbilicus, and Tao Le understands at a glance that this must be the source of infection.
Tao Le had doubts in his heart, and reached out to clasp the child's small wrist veins, and sure enough, the pulses were thin.
Coupled with the fact that the child has no fever, as well as other symptoms, it points to a straight result.
Tao Le opened the golden finger.
The interface that greeted me was already crimson, and there was only a thin line away from critical condition.
It's really sepsis, the same as she came to the conclusion.
Tao Le didn't have time to relax, and immediately ordered blood, umbilical secretion culture, blood routine, and serum-C-reactive protein tests.
The head told the family to go for an examination immediately, and she contacted the PICU.
This child doesn't have to wait for all the results to come out, he has to occupy a bed over there, so he must contact in advance.
Although sepsis is a common disease in newborns, it is ferocious and dangerous.
The director of the PICU immediately made a decision and added one to the already small number of beds.
As soon as this was arranged, the patient in front of me returned.
X-rays showed that the child's lungs were coarsely textured, with small patches and interstitial changes—indicating viral pneumonia.
Tao Le opened the gold finger to verify that it was correct, and then issued a hospitalization notice.
He was busy all morning, and by the time it was time to eat at noon, Tao Le felt that his appetite had increased a lot.
Qin Feng held the tray, his eyes swept around the restaurant, and he saw Tao Le.
He quickly sat down opposite Tao Le and squeezed Xie Baoshu, who was holding the same purpose, to the side.
The latter was not far behind, and also sat down at the table, looking at Tao Le with squeezing his eyebrows: "Doctor Tao, you know, the hospital has hospital rules, and this has to be a pennant, and you must have a treat." ”
Qin Feng raised his eyebrows, he really didn't know that the junior sister had won the pennant given by the patient. But with her abilities, that's normal, isn't it?
Tao Le smiled and said nothing, just lowered his head and ate the bun in his hand.
Celery leaf oil residue filling, willow leaf-shaped buns, the taste is very fragrant.
waited until a bun was in his stomach, Tao Le took a sip of hot and sour soup, and then he took a look at Xie Baoshu:
"Why did I suddenly remember that there was something going on at home this Saturday."
Xie Baoshu showed a look of annoyance on his face, and immediately changed his words: "This thing of the pennant, with the level of Dr. Tao, will definitely have a lot of trucks in the future, and it is impossible to count, if you have to treat each side, how much will it cost?" ”
He made a positive color and put on a horse face: "I can't get used to some of the old stereotypes and bad habits for a long time!" Now is the time to make corrections, starting with me, starting with Dr. Tao! ”